Behavioral and population science data can be standardized by using and extending current standards. A new branch of CDE for behavioral science was developed for the caDSR. It expands the caDSR domain coverage beyond the clinical and biological areas. In addition, missing terms and concepts specific to the behavioral measures addressed in this paper were added to the NCI thesaurus. A methodology was developed and refined for curation of behavioral and population science data.
(BMI) >40 and without a diagnosis or prior evaluation for sleep apnea were invited to complete the "STOP" questionnaire, a self-administered validated screening tool consisting of 4 "yes/no" questions; "yes" answers to 2 questions identify individuals at high risk of having OSA. Patients who screened positive were then contacted to schedule a sleep medicine evaluation. Results: Electronic invitations were sent to 2,283 eligible patients to take the questionnaire; 279 (12%) completed and submitted their responses. Based on their answers, 122/279 (44%) were identified as being at high risk for having OSA and recommended to undergo evaluation in the sleep clinic. To date, 104/122 patients (85%) were offered an appointment with a sleep specialist; the remaining 18 (15%) are waiting scheduling. Of those offered a clinic appointment, 41/104 (40%) have undergone a sleep medicine evaluation, 38/104 (36%) are waiting to be scheduled, and 25/104 (24%) cancelled or did not keep their appointment. Of the evaluated patients, 38/41 (93%) were diagnosed with OSA, 2/41(5%) had negative sleep studies, and 1/41(2%) are awaiting polysomnographic evaluation. Background/Aims: Integrating psychology and mental health professionals into primary care settings has emerged as a means to improve the access to and utilization of mental health services. Three main delivery models of psychology in primary care settings have emerged: (1) referring a patient to a psychologist/mental health professional located in a facility outside of the primary care physician's (PCP) office; (2) referring a patient to a co-located psychologist/mental health professional who does not directly interface with PCP; (3) integrated and co-located model where the PCP and the psychologist/ mental health professional discuss the patient's health. The overall purpose of this project was to compare patient utilization of psychology/mental health services across the Scott & White Health care system. Methods: Using electronic medical records and the virtual data warehouse (VDW), mental health clinics/facilities were categorized into one of the three main psychology models. Patients that had depression, anxiety or ADHD DRG codes in their EMR and were aged 18 and older (n=37,310) were included in the analysis.The following additional variables were controlled for: gender, race/ethnicity, and chronic physical health conditions (i.e. arthritis, lung disease, heart disease, diabetes, hypertensive disease, and osteoporosis). ANOVA/ANCOVA analyses were performed to determine the differences across the three models in the length of time between the PPC referral and the first appointment with the psychologist/mental health professional. Results: Patients that were seen by psychologist in facilities with integrated co-located models of care experienced a shorter amount of time between their referral and their first appointment with the psychologist/mental health professional, compared to the other two models of care. Conclusions: These initial results begin to inform best practice...
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